-instability in interpersonal relationships, self-image, and affects
-severe instability can be seen in their fluctuating views and feelings about themselves, they often feel really good about themselves, their progress, and their futures, to only have a seemingly minor experience turn their world upside-down with plunging self-esteem and depressing hopelessness
-marked impulsivity that begins by early adulthood and is present in a variety of contexts
-will often give up on something just before the goal is attained
-it is often difficult to maintain relationships, jobs, or educational goals since their basic instability extends to work and school
-psychotic-like symptoms may occur when they are under stress, symptoms include hallucinations, body-image distortions, ideas of reference, and hypnagogic phenomena
-typically don’t do well in personal relationships and may feel more comfortable with pets or inanimate objects, relationships are unstable
-risk of suicidal, self-mutilating, and/or brief psychotic states increases when they are experiencing an emotional state they cannot handle
-risk for suicide increases when the individual also has a co-occuring mood or substance-related disorder
-10% of adults with BPD commit suicide
-a person with BPD has a suicide rate 400 times greater than the general public
-patients suspected of BPD also exhibit symptoms of depressive mood disorders, addictions to various things, and anti-social behavior, other comorbid disorders include mood, substance related, eating, ptsd, adhd, and other personality disorders
-to the sufferer, BPD is about deep feelings, such as:
-if others really get to know me, they will find me rejectable and will not be able to love me and will leave me
-I need to have complete control of my feelings otherwise things will go completely wrong
-I have to adapt my needs to other people’s wishes otherwise they will leave me or attack me
-I am an evil person and I need to be punished
-if someone fails to keep a promise, that person can no longer be trusted
-if I trust someone, I run a great risk of getting hurt or disappointed
-if I comply with someone’s request, I run the risk of losing myself
-if you refuse someone’s request, you run the risk of losing that person
-I will always be alone
-I can’t manage by myself, I need someone to fall back on
-there is no one who really cares about me
-I don’t really know what I want
-I will never get what I want
-I’m powerless and vulnerable and I can’t protect myself
-I have no control of myself
-I can’t discipline myself
-my feelings and opinions are unfounded
-other people are not willing or helpful
BPD Triggers-
-perceived or real abandonment
-rejection of any kind
-loss of a job
-locations that invoke negative memories
-reminders of tragic events
-ending a relationship